Faculty of Science

Internship Program Intern Contact Form

Internship Program - Current Interns

Intern Contact Information Form

Congratulations on participating in the Science Internship Program. I trust that you will find your experience rewarding! If you encounter any difficulty during your Internship Placement, or have any questions, please feel free to contact Patricia Mason directly.

In order to stay “in touch”, and occasionally advise you of important deadlines, please complete this form in full (fields marked with a * are required) as soon as you are settled at your Internship placement.

Please complete this form in full, ONLY if you are currently enrolled in the Internship Program.

* = required fields

Student Information

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  • Company Information

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If you prefer, print and fill in the paper copy of this form and return it via mail or fax to:

Ms. Patricia Mason, Student Specialist - Science Internship Program and Career Services
Faculty of Science
Western Science Centre, Room 191
The University of Western Ontario
London, Ontario N6A 5B7
Tel: 519-661-2111 x85009
Fax: 519-661-3703